Search icon

Southern Urology, P.A.

Company Details

Name: Southern Urology, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 07 Jul 2004 (21 years ago)
Business ID: 857808
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 139 Fairfield DriveHattiesburg, MS 39402
Historical names: Deborah T. Azar, M.D., P.A.

Agent

Name Role Address
PAM B DAY Agent 139 FAIRFIELD DRIVE, HATTIESBURG, MS 39402

Incorporator

Name Role Address
Curtis Smith Incorporator 315 Hemphill Street, Hattiesburg, MS 39403

President

Name Role Address
Charles R Moore MD President 1109 Oakleigh Drive, Hattiesburg, MS 39402

Vice President

Name Role Address
Hal T Liddell MD Vice President 3408 Southaven Drive, Hattiesurg, MS 39402

Secretary

Name Role Address
Deborah T Azar MD Secretary 143 W Canebrake Blvd, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1316065436

Authorized Person:

Name:
DR. DEBORAH T AZAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6014502410

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-15 Annual Report For Southern Urology, P.A.
Annual Report Filed 2024-04-10 Annual Report For Southern Urology, P.A.
Annual Report Filed 2023-04-12 Annual Report For Southern Urology, P.A.
Annual Report Filed 2022-04-06 Annual Report For Southern Urology, P.A.
Annual Report Filed 2021-04-08 Annual Report For Southern Urology, P.A.
Annual Report Filed 2020-04-20 Annual Report For Southern Urology, P.A.
Annual Report Filed 2019-04-12 Annual Report For Southern Urology, P.A.
Annual Report Filed 2018-03-26 Annual Report For Southern Urology, P.A.
Amendment Form Filed 2017-04-13 Amendment For Southern Urology, P.A.
Annual Report Filed 2017-04-13 Annual Report For Southern Urology, P.A.

Date of last update: 13 May 2025

Sources: Company Profile on Mississippi Secretary of State Website